探索热带感染病：以丛林型斑疹伤寒为例。

Exploring Tropical Infections: A Focus on Scrub Typhus.

机构信息

At the University of Calgary, Alberta, Canada, Navdip Gill is a student, Cumming School of Medicine; Stephen Vaughan, MD, is Infectious Diseases Consultant and Clinical Assistant Professor, Department of Medicine; and Ranjani Somayaji, MD, MPH, BScPT, FRCPC, is Infectious Diseases Consultant and Assistant Professor, Departments of Medicine; Microbiology, Immunology & Infectious Disease; and Community Health Sciences. Acknowledgment: The authors wish to thank the patient for consenting for the case and associated images to be used for educational purposes. The authors have disclosed no financial relationships related to this article. Submitted July 30, 2019; accepted in revised form January 24, 2020.

出版信息

Adv Skin Wound Care. 2020 Oct;33(10):550-552. doi: 10.1097/01.ASW.0000694148.60567.cf.

DOI:10.1097/01.ASW.0000694148.60567.cf

PMID:32941229

Abstract

Scrub typhus is caused by Orientia tsutsugamushi and has a near global prevalence. It is associated with local and systemic manifestations that lead to morbidity and mortality. Given the nonspecific presentation of fever in a returning traveler, a high index of suspicion and thorough skin examination for eschar are critical to establishing a diagnosis. Early treatment is crucial to avoid severe outcomes, further highlighting the need to include scrub typhus in differential diagnosis. An accompanying narrative case explores the epidemiology, diagnosis, and management of scrub typhus.

摘要

恙虫病由恙虫病东方体引起，在全球范围内广泛流行。它与局部和全身表现有关，导致发病率和死亡率。鉴于返回旅行者发热的非特异性表现，高度怀疑和彻底的皮肤检查寻找焦痂对于确立诊断至关重要。早期治疗对于避免严重后果至关重要，这进一步强调了在鉴别诊断中包括恙虫病的必要性。一个伴随的叙述性病例探讨了恙虫病的流行病学、诊断和管理。